One-stop hybrid cardiac surgery for elderly patients with complex heart disease
10.3760/cma.j.issn.1008-6706.2015.09.022
- VernacularTitle:一站式杂交手术在老年人复杂性心脏病中的应用
- Author:
Zhihua TENG
;
Aiqiang DONG
;
Minjian KONG
;
Haifeng CHENG
;
Jun JIANG
- Publication Type:Journal Article
- Keywords:
Operation,composite;
Percutaneous coronary intervention;
Cardiac surgery operation;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(9):1342-1344
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and security of one-stop hybrid cardiac surgery for the treatment of elderly patients with complex heart disease.Methods From November 2013 to March 2014,a total of 5 patients[4 male,age:71-78years] underwent one-stop hybrid approach in the hybrid operating room with chronic obstructive pulmonary disease (COPD) in 3 cases,2 cases of diabetes,3 cases of hypertension,valvular heart disease in 3 cases,PDA in 1 case,4 patients with multivessel coronary disease.Right minimally invasive cardiac surgery(coronary artery bypass grafting or valvular surgery) and percutaneous intervention were performed in an enhanced operative unit.The efficacy and security of one-stop hybrid cardiac surgery were evaluated after the procedure.Results The one-stop hybrid procedure was successful in all patients.Operation time was (125 ± 28) minutes,CPI time was (65 ± 33) minutes,CPB time was (60 ± 23) minutes,Aortic cross clamping time was (42 ± 18) minutes,postoperative mechanical ventilation time was (20.5 ±6.5)hours and ICU monitoring time was (68.9 ± 16.6)hours.Hospitalization time was (9.8 ± 3.7) days.Patients remained free from angina,prosthetic valve dysfunction and patent ductus arteriosus recanalisation(rang 1 to 5 months) follow-up period.Conclusion One-stop hybrid cardiac surgery provides a reasonable,feasible and safe alternative for treating elderly patients with complex heart disease.
